Organization provider

SHELLEY K HANSEN, LSW, MA, LP, LLC

Clinical Psychologist Clinical Social Worker Medicare enrolled

SHELLEY K HANSEN, LSW, MA, LP, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1396084901, based in Northfield, MN. The organization lists 2 taxonomy classifications, with Clinical Psychologist recorded as primary.

Getting there

The practice address on file is 105 EAST FOURTH STREET SUITE 302, Northfield, MN 55057. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

105 EAST FOURTH STREET SUITE 302, Northfield, MN 55057 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
LP3954 MN Clinical Psychologist primary
LSW5063 MN Clinical Social Worker

This provider holds licence LP3954 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
6305074824
Enrollment ID
O20140108000646

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical covers

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NUCC Health Care Provider Taxonomy, code 103TC0700X
Behavioral Health & Social Service Providers Psychologist Clinical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TC0700X Clinical Psychologist Clinical LP3954 MN primary
1041C0700X Clinical Social Worker Clinical LSW5063 MN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1396084901 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateFeb 4, 2013
Last updatedApr 2, 2014
StatusActive
Practice address 105 EAST FOURTH STREET
SUITE 302
Northfield, MN 55057
(612) 532-6741
This record was last updated on Apr 2, 2014, roughly 12 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1396084901 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 9 6 0 8 4 9 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 9 6 0 8 8 9 0

Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1396084901?
NPI 1396084901 is the National Provider Identifier assigned to SHELLEY K HANSEN, LSW, MA, LP, LLC in Northfield, MN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology --…
How do I contact SHELLEY K HANSEN, LSW, MA, LP, LLC?
The phone number on file with NPPES is (612) 532-6741, last updated Apr 2, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does SHELLEY K HANSEN, LSW, MA, LP, LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1396084901 a valid number?
Yes. 1396084901 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.